British Association of Spine Surgeons standards of care for cauda equina syndrome.
نویسندگان
چکیده
This group of articles looks at the BASS guidelines for CES. TG and AC gave us the background on the long journey taken in publishing this, SA summarized the forum discussion on the BASS Web site, and NT gave us a medicolegal comment. The guidelines are concise, highlighting the need for prompt MRI scanning and as a consequence emergency surgery in appropriate cases. This has resource implication in terms of MRI availability and a comprehensive spinal on-call system. The question of whether operating "in the small hours" carries increased risk or whether we are using this as an excuse not to get out of bed needs to be addressed. CES discs tend to be more difficult than standard ones and probably associated with a higher complication rate. Literature on complications from night-time trauma surgery has considerably reduced out-of-hour operating in trauma. Guidelines on CES will allow the spinal community to prospectively collect data on a national registry which in time will allow us to further improve our understanding and treatment of this condition. Spinal surgery is quickly evolving into a separate specialty. These guidelines further highlight the need for a single spinal society to help set standards, educate, and revalidate our members. It is important that we all engage in this debate to get a consensus opinion to improve spinal practice across the United Kingdom.
منابع مشابه
Cauda equina syndrome.
Cauda equina syndrome is a relatively uncommon condition typically associated with a large, space-occupying lesion within the canal of the lumbosacral spine. The syndrome is characterized by varying patterns of low back pain, sciatica, lower extremity sensorimotor loss, and bowel and bladder dysfunction. The pathophysiology remains unclear but may be related to damage to the nerve roots composi...
متن کاملHypokalaemic paralysis secondary to thiazide diuretic abuse: an unexpected outcome for cauda equina syndrome
STUDY DESIGN Case report.We present the case of a 55-year-old woman with cauda equina syndrome, and hypokalaemic paralysis secondary to thiazide diuretic abuse.
متن کاملFracture-dislocation of the lumbo-sacral spine with cauda equina lesion. Report of two cases.
متن کامل
Prognosis of Cauda Equina Syndrome Caused by Herniated Disk After Lumbar Disk Operation
Background and Aim: Although operation is the most appropriate treatment for Cauda Equina Syndrome, the effectiveness of operation on clinical symptoms is still under discussion. This study aimed to determine the prognosis of Cauda Equina Syndrome in patients with lumbar disk surgery in Al-Zahra Hospital of Isfahan City, Iran, from 2013 to 2015. Methods and Materials/ Patients: In This prospec...
متن کاملReview of medicolegal cases for cauda equina syndrome: what factors lead to an adverse outcome for the provider?
Cauda equina syndrome is 1 of a few true surgical emergencies involving the lumbar spine. Although treatment within 48 hours has been found to correlate with improved outcomes, recovery of bowel and bladder control does not always occur, and loss of these functions can be distressing to patients. An understanding of factors affecting the legal outcome can aid the clinician in determining risk m...
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عنوان ژورنال:
- The spine journal : official journal of the North American Spine Society
دوره 15 3 Suppl شماره
صفحات -
تاریخ انتشار 2015